Organization
BRADLEY W NORDYKE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY W NORDYKE M.D. (OWNER)
(956) 982-1696
Entity
Organization
Contact information
Practice address
3914 PAREDES LINE RD, BROWNSVILLE, TX 78526-1184
(956) 982-1696
(956) 982-2256
Mailing address
3914 PAREDES LINE RD, BROWNSVILLE, TX 78526-1184
(956) 982-1696
(956) 982-2256
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J7115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146384601
—
TX
05
—
146384602
—
TX
Enumeration date
01/10/2007
Last updated
07/21/2010
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